Provider Demographics
NPI:1679456453
Name:OUR THREE HEARTS CARE HOME LLC
Entity type:Organization
Organization Name:OUR THREE HEARTS CARE HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LABRADOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:341-249-4800
Mailing Address - Street 1:35459 CLEREMONT DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-1102
Mailing Address - Country:US
Mailing Address - Phone:341-249-4800
Mailing Address - Fax:341-201-5101
Practice Address - Street 1:35459 CLEREMONT DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-1102
Practice Address - Country:US
Practice Address - Phone:341-249-4800
Practice Address - Fax:341-201-5101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility